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논문 기본 정보

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학술저널
저자정보
In Hee Lee (Department of Oncology/Hematology School of Medicine Kyungpook National University Kyungpook Nation) 고성애 (영남대학교) Soo Jung Lee (Department of Oncology/Hematology School of Medicine Kyungpook National University Kyungpook Nation) Sun Ah Lee (Department of Oncology/Hematology Daegu Fatima Hospital Daegu Korea) Yoon Young Cho (Division of Hematology/Oncology Department of Internal Medicine Daegu Catholic University Shcool of) Ji Yeon Lee (Department of Infectious Diseases Keimyung University Dongsan Medical Center Daegu Korea) Jin Young Kim (Division of Hematology/Oncology Department of Internal Medicine Keimyung University Dongsan Medical)
저널정보
영남대학교 의과대학 Journal of Yeungnam Medical Science Journal of Yeungnam Medical Science 제38권 제4호
발행연도
2021.10
수록면
344 - 349 (6page)
DOI
10.12701/yujm.2021.01144

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Background: Cancer patients have been disproportionally affected by the coronavirus disease 2019 (COVID-19) pandemic, with high rates of severe outcomes and mortality. Fever is the most common symptom in COVID-19 patients. During the COVID-19 pandemic, physicians may have difficulty in determining the cause of fever (COVID-19, another infection, or cancer fever) in cancer patients. Furthermore, there are no specific guidelines for managing cancer patients with fever during the COVID-19 pandemic. Thus, this study evaluated the clinical characteristics and outcomes of cancer patients with fever during the COVID-19 pandemic. Methods: This study retrospectively reviewed the medical records of 328 cancer patients with COVID-19 symptoms (fever) admitted to five hospitals in Daegu, Korea from January to October 2020. We obtained data on demographics, clinical manifestations, laboratory test results, chest computed tomography images, cancer history, cancer treatment, and outcomes of all enrolled patients from electronic medical records. Results: The most common COVID-19-like symptoms were fever (n=256, 78%). Among 256 patients with fever, only three (1.2%) were diagnosed with COVID-19. Most patients (253, 98.8%) with fever were not diagnosed with COVID-19. The most common solid malignancies were lung cancer (65, 19.8%) and hepatobiliary cancer (61, 18.6%). Twenty patients with fever experienced a delay in receiving cancer treatment. Eighteen patients discontinued active cancer treatment because of fever. Major events during the treatment delay period included death (2.7%), cancer progression (1.5%), and major organ dysfunction (2.7%). Conclusion: Considering that only 0.9% of patients tested for COVID-19 were positive, screening for COVID-19 in cancer patients with fever should be based on the physician’s clinical decision, and patients might not be routinely tested.
#COVID-19 #Fever #Neoplasms #Neoplastic fever

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참고문헌 (19)

참고문헌 신청
Zhang L / 2020 / Clinical characteristics of COVID-19-infected cancer patients: a retrospective case study in three hospitals within Wuhan, China / Ann Oncol 31:894~901 google schola Kuderer NM / 2020 / Clinical impact of COVID-19 on patients with cancer(CCC19) : a cohort study / Lancet 395:1907~1918 google schola Liang W / 2020 / Cancer patients in SARS-CoV-2 infection : a nationwide analysis in China / Lancet Oncol 21:335~337 google schola Onder G / 2020 / Case-fatality rate and characteristics of patients dying in relation to COVID-19 in Italy / JAMA 323:1775~1776 google schola Zhao D / 2020 / A comparative study on the clinical features of coronavirus 2019(COVID-19)pneumonia with other pneumonias / Clin Infect Dis 71:756~761 google schola

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